0202U
Proprietary lab analysis, human genomic sequencing
Proprietary lab analysis, human genomic sequencing is the #376 most-billed Medicaid procedure code, with $295.7M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $144.30. Costs vary widely — the 90th percentile is $344.17 per claim, 2.4× the median.
Total Paid
$295.7M
0.03% of all spending
Total Claims
1.9M
Providers
1K
Avg Cost/Claim
$155
National Cost Distribution
How much do providers bill per claim for 0202U? Based on 999 providers billing this code nationally.
Median
$144.30
Average
$169.58
Std Dev
$186.81
Max
$3,769.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $39.87 and $252.06 per claim for this code.
90% bill between $7.01 and $344.17.
Top 1% bill above $541.59.
About This Procedure
HCPCS code 0202U (Proprietary lab analysis, human genomic sequencing) was billed by 1K providers across 1.9M claims, totaling $295.7M in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$144.30
Providers Billing
999
National Spending
$295.7M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0202U
| # | Provider | Total Paid |
|---|---|---|
| 1 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $11.5M |
| 2 | 1811213994 | $6.9M |
| 3 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $5.5M |
| 4 | 1568724243 | $5.4M |
| 5 | 1881630036 | $5.1M |
| 6 | 1598860108 | $5.1M |
| 7 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $4.8M |
| 8 | Accurate Mobile Lab Services Llc Hickory Hills, IL · Clinical Medical Laboratory | $3.9M |
| 9 | 1356444814 | $3.7M |
| 10 | 1972606465 | $3.3M |
| 11 | 1548538200 | $3.2M |
| 12 | 1902911050 | $2.9M |
| 13 | 1275620585 | $2.9M |
| 14 | 1346244126 | $2.9M |
| 15 | 1598766495 | $2.8M |
| 16 | 1346904463 | $2.8M |
| 17 | 1427055821 | $2.8M |
| 18 | 1881632818 | $2.8M |
| 19 | 1306843826 | $2.6M |
| 20 | 1992968150 | $2.5M |
Showing top 20 of 1K providers billing this code